Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $38.96 / $45.83	Facility	26	$34.36	$38.96	$45.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $318.62 / $534.14	Professional		$220.37	$318.62	$534.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $34.39 / $52.36	Professional	26	$24.15	$34.39	$52.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.22 / $287.36 / $481.78	Professional	TC	$196.22	$287.36	$481.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.59 / $373.59 / $617.10	Professional		$373.59	$373.59	$617.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $41.56 / $52.62	Professional	26	$41.56	$41.56	$52.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $332.04 / $332.04 / $564.48	Professional	TC	$332.04	$332.04	$564.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $461.95 / $566.16	Professional		$43.24	$461.95	$566.16
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $44.76 / $46.87 / $48.04	Professional	26	$44.76	$46.87	$48.04
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $395.28 / $413.91 / $413.91	Professional	TC	$395.28	$413.91	$413.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.09 / $381.91 / $397.83	Professional		$350.09	$381.91	$397.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.35 / $40.74 / $42.44	Professional	26	$37.35	$40.74	$42.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $312.73 / $341.16 / $355.38	Professional	TC	$312.73	$341.16	$355.38
United Facility/Professional Professional Modifier Low / Median / High Price $429.65 / $475.46 / $573.21	Professional		$429.65	$475.46	$573.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $50.75 / $57.45	Professional	26	$45.83	$50.75	$57.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $383.81 / $424.71 / $515.76	Professional	TC	$383.81	$424.71	$515.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.61 / $484.23 / $908.96	Professional		$379.61	$484.23	$908.96
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $49.53 / $88.04	Professional	26	$36.50	$49.53	$88.04
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $343.11 / $433.84 / $819.56	Professional	TC	$343.11	$433.84	$819.56